Choosing the Initial Medication for Managing ADHD - Part 3: Comorbidity Matters

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  • Опубликовано: 10 сен 2024

Комментарии • 31

  • @cozycasasmr4510
    @cozycasasmr4510 28 дней назад +12

    im really glad that my insomnia seemed to get better when i started meds, i think purely because instead of sitting in paralysis mode all day every day, id be out and about doing things i needed to get done so id get rid of excess energy more easily. i dont have any external hyperactivity only mental, it didnt work for that but it worked for focus and persistence. im glad more people are talking about the type of adhd i have because when i was a kid it was never even seen as an option because i was very reserved and quiet (never spoke to anyone aside from immediate family) and a girl.

  • @constantinaolstedt
    @constantinaolstedt 28 дней назад +4

    As always, great information, delivered in great way. the ability to share knowledge clearly without dumbing it down. Wish my doctors and other med. personell would keep up with the science....😢

    • @briangilliland
      @briangilliland 28 дней назад

      I have begun taking JORNAY as an adult which has a delayed release after 10 hours of taking it so I can take it at bed time. It is new and I can't find any information on serious side effects. Do you have any information for this medication or where I can find it?

  • @nickm2677
    @nickm2677 28 дней назад +2

    Wow, I didn't know about a decrease in individuals with a Math LD/Disorder! I have ADHD and a Math LD and my meds work wonders for me, but cool to know

  • @JM-cf5yn
    @JM-cf5yn 29 дней назад +4

    Great video very informative

  • @banehog
    @banehog 28 дней назад +5

    Nothing on comorbid bipolar? Is that gonna be in another video?

  • @TeenAke
    @TeenAke 27 дней назад +1

    I have never slept better than while using stimulant medication 😅 But the tism seems to get worse at the same time. Overall, rather sleeping better and more sensory issues, than not sleeping at all 💯

  • @penelopemaxwell2548
    @penelopemaxwell2548 18 дней назад

    Thank you - Love your channel

  • @briangilliland
    @briangilliland 28 дней назад

    Really good info! Thank you for your valuable info from REAL research!

  • @Handle8844
    @Handle8844 28 дней назад +1

    Fascinating stuff. I have yet to find any medication that helps my ADHD whatsoever (and I've tried several, under doctor's supervision, up to the highest recommended dosages). I scored high in math SAT testing but in day-to-day math class I was always lost, received poor marks. Perhaps I have a math "disability" without realising it.

    • @zachhanks4399
      @zachhanks4399 25 дней назад

      Does that track, though? I was a “twice-exceptional” (“2e”) child, with high IQ but undiagnosed ADHD. I had an experience similar to yours - a marked contrast between my high scores on standardized tests but mediocre grades. That’s clearly explained by the high-IQ/ADHD interaction (e.g.: In math, I was more than intelligent enough to understand the concepts and apply them, but my ADHD impaired my ability to pay attention to lectures, to plan my homework/study/project schedules, to start and sustain focus while studying, to start/complete/turn in homework assignments, to be a productive collaborator in group projects, and to minimize “careless errors.” If you scored high on math standardized tests but got grades in math classes that were conspicuously lower, that’s not sufficient to suggest a LD when it’s already fully explicable by a high math aptitude/ADHD twice-exceptionality.

  • @GuyBucktastik
    @GuyBucktastik 29 дней назад +16

    I just watched this at 1.5dhd speed

    • @Ouiofcourse
      @Ouiofcourse 29 дней назад +1

      😂🎉

    • @karinschernitzki2123
      @karinschernitzki2123 28 дней назад +1

      Me too 😂. My native language is Spanish.

    • @neithere
      @neithere 28 дней назад +5

      He's one of the few I typically watch at normal speed just because of his calming voice :)

    • @cozycasasmr4510
      @cozycasasmr4510 28 дней назад

      lmaoooo

    • @dianapita3056
      @dianapita3056 13 часов назад

      I had to do at 2x...😔😅

  • @natashyas4149
    @natashyas4149 28 дней назад +1

    Stimulants may increase OCD. That's good to know ty. And stimulants decrease working memory for patients with anxiety. Def co-morbid issues here

    • @BrotherWalrus
      @BrotherWalrus 28 дней назад +1

      The working memory & anxiety portion might not be set in stone yet - at least, particularly for those diagnosed in adulthood who also developed severe anxiety due to ADHD itself. My working memory exponentially improved when I started Adderall, on top of almost eliminating my anxiety altogether!

    • @dimariewaxgoddess
      @dimariewaxgoddess 28 дней назад

      ​@@BrotherWalrusI'm hoping for that benefit🤞

  • @pmilosev
    @pmilosev 28 дней назад +1

    Thanks!

  • @durschfalltv7505
    @durschfalltv7505 28 дней назад +1

    What do you think of aminocaidbutter medication to combat stimulant side effects.
    Medication like Lyrisal(Pregabalin)/Baclofen or Noofen(Phenibute).
    I see a problem in anxiety rebound and tolerance but amphetamines haven the same problem requiring redosing after frequent use.

  • @samvandervelden8243
    @samvandervelden8243 27 дней назад

    Hi Russel Barkley, I have a question. You mentioned that atomoxetine has a similar or slightly lower effect size compared to OROS methylphenidate.
    My question is how does it compare when looking at teacher rating only? Because stimulants aren't active active some part of the day which would drop the overall effectiveness right?
    I'm curious how atomoxetine compares to OROS methylphenidate when it is active

  • @binsou5888
    @binsou5888 25 дней назад

    Hi Dr. B. A quick Q on interesting self-observation after taking medikinet (methylphenidate) for abt 6 months.
    I noticed that my severe fear of heights have significantly improved after taking medikinet. I had this phobia since childhood and the only variable that seemes relevant was the adhd medication. My hypothesis is that fear of heights is caused by executive malfunction . Do you know of any research that connrcts fear of heights with executive functioning?

  • @elSethro
    @elSethro 26 дней назад

    I'm curious whether insomnia/sleep problems are affected more by extended-release stimulants vs. shorter-acting ones? i.e., If someone is taking vyvanse in the morning and having trouble falling asleep at night, is it likely that switching to standard adderall (not extended release) or ritalin might resolve that issue?

  • @W.C.
    @W.C. 27 дней назад

    Interestingly, I found that atomoxetine caused insomnia and methylphenidate made it hard to fall asleep, but lisdexamfetamine doesn't impact it.
    Also, originally I thought methylphenidate was increasing my anxiety until I realized that I was interpreting my upset stomach as a sign of anxiety rather than a side effect of the medication. I wonder if that is why the research findings are mixed.

  • @ryneevansiii8663
    @ryneevansiii8663 28 дней назад

    Hi Dr. Barkley, I was hoping if you see this, if you could address the use of your BDEFS and BAARS in regards to scoring for gender-diverse persons (non-binary or transgender). Should scoring and interpretation be based off of their biological sex or gender identity? what if the person is non-binary?

  • @Ouiofcourse
    @Ouiofcourse 29 дней назад

    Is ADHD 2.0 books legit or scam?

    • @zachhanks4399
      @zachhanks4399 25 дней назад

      The authors appear to be legit, but I, too, have heard some things about ADHD 2.0 that sound worthy of skepticism. Personally, I advise laypeople to start with Barkley’s works, and that if they master his material but never get around to anyone else’s, they’ll still come out way ahead of most people and quite a few pediatricians.

    • @publius9350
      @publius9350 20 дней назад

      ​@@zachhanks4399the author himself is sometimes great and sometimes a bit out there. I think he and Barkley sometimes but heads. The main thing to know about that specific book is that the author (Hallowell) says himself that everything in that book is not well established and just something he found interesting. Hallowell has a ton of books that all essentially recycle a number of ideas - some are great - I do think he is right about the need for a creative outlet for those with ADHD, otherwise we self destruct out of frustrated creative need.